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Privacy rights request

Use this form to request access to your personal data, correct it, delete it, or withdraw your contact consent. We do not discriminate against anyone who exercises their privacy rights.

How it works

  • We receive your request and confirm that it arrived.
  • We may ask for additional information to verify your identity before acting.
  • We respond within a reasonable timeframe under applicable Texas law.
  • If an authorized agent submits the request, we may ask for proof of authorization.

Request form

Send only the information needed. Do not include medical history or sensitive data.

Configuration pending: The contact channel for privacy requests is not configured yet. Write to us through the contact page and we will handle your request. Go to contact

For example: the data you want corrected, or the form and approximate date you contacted us.

We keep a record of privacy requests only to demonstrate compliance.

This is a cosmetic, non-medical service. We do not keep clinical records, and information you send is not covered by HIPAA.

Serving Houston, Texas — by appointment.

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